Voice and speech disability after emergency tracheotomy has a strong impact on patients' psychosocial life, which is why the surgeons have now developed various alternative surgical techniques, such as total arytenoidectomy
, partial arytenoidectomy
with posterior cordectomy, laser-assisted arytenoidectomy
5) Reports of laryngofisssure with arytenoidectomy
with lateralization of the vibratory portion of the vocal cord with stainless steel suture creating glottic airway of 4-6mm at its posterior aspect are also documented.
Video-assisted left partial arytenoidectomy
by diode laser photoablation for treatment of canine laryngeal paralysis.
Posterior cordectomy and subtotal arytenoidectomy
for the treatment of bilateral vocal fold immobility: Functional results.
In such condition the treatment options available are trans-oral carbon dioxide (CO ) laser 2 endoscopic arytenoidectomy
, endoscopic laser cordotomy, extra laryngeal arytenoidectomy
, arytenoids lateralization and posterior cricoarytenoid muscle reinnervation.
Other modalities of treatment have been described and include chemical splinting using botulinum toxin, (9) arytenoidectomy
(17) and cricoarytenoid arthrodesis.
From 2006, we started doing endoscopic arytenoidectomy
following "Cumming's otorhinolaryngology head and neck surgery"
Her vocal fold paralysis had been treated with arytenoidectomy
and a vocal fold medialization procedure more than 10 years earlier.
2] laser resection, a right arytenoidectomy
with wide soft-tissue margins, and a tracheotomy in anticipation of postoperative edema.
Some extensive reconstructive procedures for example, laryngofissure, arytenoidectomy
, vocal fold resection, and cordotomy--may result in a secure airway and closure of the tracheotomy site at the expense of voice quality.
Another indication for hyoid bone reconstruction is the presence of bilateral abductor vocal fold paralysis that has failed to respond to arytenoidectomy